Shane Harold Bonella, M. COUN., LPC
NPI 1255640835ActiveIndividual· Counselor, Professional· Grants Pass, OR
Counselor, Professional (M. COUN., LPC) with Options for Southern Oregon, practicing in Grants Pass, Oregon. Enrolled in Medicare as practitioner - other (non-physician).
Overview
| NPI | 1255640835 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M. COUN., LPC |
| Sole proprietor | No |
| NPI issued | Sep 30, 2010 |
| Last updated in NPPES | Feb 7, 2024 |
| Certified by provider | Feb 7, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | C2795 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Other (Non-Physician) (OR) |
|---|
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Undefined Non-Physician Type (Specify) |
Medical group
- Options for Southern OregonGrants Pass, OR · 72 clinicians
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